HomeMy WebLinkAbout1609 Shenandoah Cir - Permits/Reroof - 07/25/2011`
# of stories: Occ Group: Const Type:
Fire Sprklr Stock plan M Stock plan options:
Contractor: FM ROOFING License #: R-400 Supervisor cert M
1629 S. LEMAY AVE
FORT COLLINS, CO 80525 Phone: 970-221-1388
Phone License Number
Roofing: FM ROOFING 970-221-1388 R-400'
Work DescriDtion: REMOVE EXISTING ROOFING MATERIAL TO THE DECKING - REROOF WITH 20 SO LAMINATED
SHINGLES - PROVIDE REQUIRED ATTIC VENTILATION
SCHEDULE INSPECTIONS By Phone: 221-6769 By Web: hftp://�mos.fcgov.00E�CWmenAccess
Inspections: RF
PI!
TOTAL FEES PAID AS OF 07/25111: S79,00 Payment method: Credit Card 9472,
Fm Distaff Dbpbyed on Next Page
As a condflion for to wAiance of a permit I hereby declare that I am the owneror ownees agent authorized to perform the p n p n q a r! work on the property described
at be'
I agree to coffq)lywfth all the requirementsoontained herein, and Cifyordinarioes, and State lawsassociated with wchvmrk lundeistai Vu such peffrdt may.
revoked in the event that wsuance was on incorrect hbnTation. This pemdt " become nufl and void if the mk authorbwd by such permit ii; riot
wispanded, abandoned or riot Inspected vifthin 180 days ftm the date of such pemk
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: LMO*OLPrint Name. Date.
-14�
Form Pjwlsed Oct 2010'
F6rt`C`s
Site Address: 1609 SHENANDOAH CIR
Job Valuation: $2,000.00 Category: Residential
j,14 Community Development 8r Neighborhood SeruiGe>�,>jr'�,1
An
281 N. College Ave Fort Collins, CO 8' ...' : a {
97o.22i.676o 970.224:6134Pk
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Building.Permit#: ;:.
Issued Full: 07/25P20ti
Permit Type: Residential Roof rig::'.
Transactions
Credit Card CK# 9472 07/25/2011
$79.00
PD FM ROOFING CK 9472
Receipt issued: 07/25/2011 Total Paid to Dates
- $n.00 •
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Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount.
Building Permit Fee Without
1000.422610
$32.50
$32.50
07i26/2011
Subs
City Sales/Use Tax
251.122030
$38.50
$38.50
$8.00
07/25/2011
07/25/2011
$0 00 `•
$0
County Sales/Use Tax
100.217030
$8.00
c
TOTAL FEES:
$79.00
$79.00
t
TOTAL BALANCE DUE AS OF'07/2W011:
Fee Amounts are valid for date of this document only. Fees subject to change without notice. !+
Form R,evlsed Oct'2010 ` '
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